Maninder Pal Chatha, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

31458 Issued in AZ

Practice address

612 W Baseline Rd
Mesa, AZ 85210-6041

Phone

(480) 834-9039

Fax

(480) 964-7802

NPI assigned

Oct 2, 2006

Last updated

Jan 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: gehmchath@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  Medicare reassignment NPD
• Gila River Health Care Corporation

  dba Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Evac LLC

  • Nephrology Physician
  • Chandler, AZ
  • NPI 1073772588
  Authorized official Same address or phone
• Valley Kidney Corp

  dba Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1336686187
  Authorized official Same address or phone
• Gila River Health Care

  dba Thwajik Ke Outpatient Behavioral Health Services

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  dba AK-Chin Clinic

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Gila River Health Care Corporation

  dba Red Tail Hawk BHS-CM

  • Case Management Agency
  • Chandler, AZ
  • NPI 1629579230
  NPD
• Bio-Medical Applications of Arizona, LLC

  dba Fresenius Kidney Care Gateway

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chandler, AZ
  • NPI 1811450281
  NPD (past)
• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  NPD (past)
• Renal Dimensions, LLC

  dba Renal Care Group Southeast Valley

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Queen Creek, AZ
  • NPI 1003976010
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1356434179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039",
            "fax_number": "480-964-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHA",
        "first_name": "MANINDER",
        "middle_name": "PAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "31458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809436",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthaya Charnvitayapong
• Amanda Chase, OTR-L
• Tara Lynne Chase, LAC, MS, NCC
• Michael Adam Chasin, M.D.
• Marvin M Chassin, MD
• Joseph Luckose Chatham, MD
• Terrica Chatman, BA, BHT
• Deray Chatter, PA-S
• Asad Junaid Chaudhary, MD
• Oshea Chaudhary

• Nephrology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.